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Article
October 20, 1906

THE TREATMENT OF THE INTRACRANIAL COMPLICATIONS OF MIDDLE-EAR SUPPURATION.

JAMA. 1906;XLVII(16):1289-1293. doi:10.1001/jama.1906.25210160053001o
Abstract

The statistics given in this paper are taken from my own operating book, it being my purpose to record here simply personal experiences and to deal very little with the general literature of the subject, owing to the small time allotted for the discussion of so important a topic.

The intracranial complications which may follow a middle-ear suppuration are, first, epidural abscess; second, brain abscess; third, sinus thrombosis, and, fourth, general meningitis. The meningitis may be either of the serous or the purulent type.

From my own private statistics I can report 40 cases of epidural abscess, 14 cases of brain abscess, 44 cases of sinus thrombosis and 5 cases of general meningitis. This list refers simply to cases operated on. Of course, some cases of meningitis were met with which were considered inoperable, but these statistics deal simply with cases operated on.

Of the 40 cases of epidural abscess,

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